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okay so this this is a book I wrote um with uh nine other experts in the field of gender affirmation care itamp;#39;s got all about medical transition surgical transitions called affirmed itamp;#39;s available on Amazon and it does answer a lot of those questions and especially if youamp;#39;re looking into bottom surgery you need to take a look at this or something very similar because itamp;#39;s very complicated and most most you know letamp;#39;s say Primary Care docs they donamp;#39;t even know the nuances of it and unfortunately the burden is a you as uh the patient to understand all the different options and uh make uh your decision uh based on that um okay let me see uh my friend is getting frustrated with lanstein do you have any tips for traveling abroad for it um yeah so like most of our patients fly in uh and and your